Organization
ACTIVE LIFE PHYSICAL MEDICINE AND PAIN CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDI LUNDQUIST D.O. (OWNER/PHYSICIAN)
(623) 535-9777
Entity
Organization
Contact information
Practice address
15547 N REEMS RD BLDG A, SURPRISE, AZ 85374-9583
(623) 535-9777
(623) 535-9778
Mailing address
15547 N REEMS RD BLDG A, SURPRISE, AZ 85374-9583
(623) 535-9777
(623) 535-9778
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
005097
AZ
Other
Enumeration date
04/17/2009
Last updated
05/29/2023
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